Integration of Health and Social Care
The Scottish Parliament passed The Public Bodies (Joint Working) (Scotland) Act on February 25, 2014 and received Royal Assent on 1st April 2014.
The Scottish Government consulted on the Regulations over summer 2014 . Two sets of draft Regulations were developed to accompany the Act : Set one was open for consultation from 12 May 2014 – 1 August 2014, and covered functions and outcomes. The second set was consulted on from 27 May 2014 – 18 August 2014, and looked at membership and consultation requirements associated with the Act.
A guide to the Act and the draft Regulations associated is available here.
Integration regulations were laid in Parliament on 3rd October 2014
These affirmative regulations deal with the functions and services which must be delegated to the new health and social care partnerships by Health and by Local Authorities. They also set out the National Health and Wellbeing Outcomes.
The Health and Sport Committee will consider these regulations and, once approved by the Parliament, the Regulations will come into effect by December 2014.
There will be further regulations laid in Parliament at the end of October which will not be subject to the same Parliamentary process but which will also come into effect by December 2014.
One of the key issues which the HSEU has discussed with housing support providers has been the extent to which homelessness and housing support will come within the new health and social care partnerships. The second regulation listed above sets out the government’s intentions: homelessness will not be required to come within the scope of the new partnerships but ‘may’ do so if a partnership decides to bring it into scope; housing support will not be required to come within scope unless it is delivered ‘in conjunction’ with personal care. Other types of housing support can come within scope if partnerships so desire eg housing support relating to homelessness.
The Scottish Government has provided an explanatory note about the functions and services which are required to be delegated to health and care partnerships.
Much of the Integration agenda is influenced by the recommendations included in the Christie Commission report from 2011.